Description

Shadow Health: Complex Assessment: Arrhythmia Martin Francis

Assignment Description: This assignment provides the opportunity to conduct a focused assessment with a patient on the telemetry floor. You will interview and examine the patient, document your findings, select a suspected problem, and complete a provider SBAR. On average, this assignment should take 60 minutes to complete. This assignment may contain synthesized voices.

• Estimated Time to Complete: 60 minutes

• •  Results At Completion: Your faculty has chosen to make your detailed results available as soon as you complete this assignment.
  •  First ‘Turn In’: The first attempt you complete will be turned in to your instructor automatically.

  Patient Exam In this assignment, you will conduct a focused assessment on a patient in a telemetry floor setting. You will interview and examine the patient, document your findings, formulate a diagnosis, and deliver an SBAR. On average, this assignment should take 60 minutes to complete.

  Solution: Shadow Health: Complex Assessment: Arrhythmia Martin Francis

  

  Category

  Scored Items

  Experts selected these topics as essential components of a strong, thorough interview with this patient.

  Patient Data

  Not Scored

  A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.

  Patient Check In

  • 
    

    Finding:

    Asked about chief complaint

  • 
    

    Finding:

    Reports shortness of breath

    (Found)

    Pro Tip: By asking a patient an open question about their reason for coming into the hospital, you can establish their current medical and comfort needs and assist in coordinating their care.

    Example Question:

    What brings you in to the hospital?
  • 
    

    Finding:

    Reports chest heaviness

    (Found)

    Pro Tip: By asking a patient an open question about their reason for coming into the hospital, you can establish their current medical and comfort needs and assist in coordinating their care.

    Example Question:

    What brings you in to the hospital?

  • 
    

    Finding:

    Asked about orientation

  • 
    

    Finding:

    Oriented to place

    (Found)

    Pro Tip: Asking a patient to orient themselves in time and space will help you assess their current condition and determine if any immediate interventions would be required.

    Example Question:

    Do you know where you are?
  • 
    

    Finding:

    Oriented to time

    (Available)

    Pro Tip: Asking a patient to orient themselves in time and space will help you assess their current condition and determine if any immediate interventions would be required.

    Example Question:

    Do you know what time it is?
  • 
    

    Finding:

    Oriented to person

    (Available)

    Pro Tip: Asking a patient to orient themselves in time and space will help you assess their current condition and determine if any immediate interventions would be required.

    Example Question:

    Can you tell me your name?
  • 
    

    Finding:

    Oriented to situation

    (Available)

    Pro Tip: Asking a patient to orient themselves in time and space will help you assess their current condition and determine if any immediate interventions would be required.

    Example Question:

    Do you know why you are here?

  • 
    

    Finding:

    Asked about pain level

  • 
    

    Finding:

    Denies pain

    (Found)

    Pro Tip: Asking a patient about their comfort level and current needs ensures a patient’s right to have their basic physical and comfort needs met.

    Example Question:

    Are you in any pain?

  • 
    

    Finding:

    Asked about cultural or spiritual needs

  • 
    

    Finding:

    Denies cultural or spiritual needs

    (Found)

    Pro Tip: Asking a patient about their comfort level and current needs ensures a patient’s right to have their basic physical and comfort needs met.

    Example Question:

    Do you have any spiritual needs I can assist with?

  History of Present Illness

  • 
    

    Finding:

    Asked about onset of symptoms

  • 
    

    Finding:

    Reports symptoms began 48 hours ago

    (Found)

    Pro Tip: If a patient reveals a medical condition or symptoms, asking a wide variety of follow-up questions can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

    Example Question:

    When did your symptoms begin?
  • 
    

    Finding:

    Reports worsening symptoms in the hour before arriving to the hospital

    (Found)

    Pro Tip: If a patient reveals a medical condition or symptoms, asking a wide variety of follow-up questions can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

    Example Question:

    When did your symptoms worsen?

  • 
    

    Finding:

    Asked about aggravating factors

  • 
    

    Finding:

    Reports symptoms exacerbated by activity

    (Found)

    Pro Tip: If a patient reveals a medical condition or symptoms, asking a wide variety of follow-up questions can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

    Example Question:

    Does anything aggravate your symptoms?
  • 
    

    Finding:

    Reports shortness of breath is worse lying down

    (Found)

    Pro Tip: If a patient reveals a medical condition or symptoms, asking a wide variety of follow-up questions can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

    Example Question:

    Does anything aggravate your symptoms?

  • 
    

    Finding:

    Asked about relieving factors

  • 
    

    Finding:

    Reports shortness of breath and chest heaviness relieved some by rest

    (Found)

    Pro Tip: If a patient reveals a medical condition or symptoms, asking a wide variety of follow-up questions can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

    Example Question:

    Does resting relieve your symptoms?

  • 
    

    Finding:

    Asked about treatment

  • 
    

    Finding:

    Reports resting periodically

    (Found)

    Pro Tip: If a patient reveals a medical condition or symptoms, asking a wide variety of follow-up questions can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

    Example Question:

    What treatment have you tried?
  • 
    

    Finding:

    Denies taking any medication as treatment

    (Found)

    Pro Tip: If a patient reveals a medical condition or symptoms, asking a wide variety of follow-up questions can help providers better understand the nature of the disorder, especially through questions about timing, severity, and types of symptoms.

    Example Question:

    What treatment have you tried?

  • 
    

    Finding:

    Asked about timing of symptoms

  • 
    

    Finding:

    Reports symptoms are constant

  

   

   

  

  

  

  Add to cart to get Subjective data, objective data, stroke scale, suspected problem, and SBAR

  Solution: (Completed) Shadow Health: Complex Assessment: Cardiac Intervention James Morris